National Provider Identifier

Tara M Krisch

Tara M Krisch is listed in the NPPES registry with a primary specialty of Specialist in Niagara Falls, NY and a listed phone number of (716) 278-8180.

NPI 1699236505Niagara Falls, NYSpecialist

Profile Overview

NPI
1699236505
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 26, 2019
Last Updated
March 26, 2019

Practice Location

  • 1001 11Th St
  • Niagara Falls, NY 14301-1201

Phone: (716) 278-8180

Mailing Address

  • 153 57Th St
  • Niagara Falls, NY 14304-3807

Specialties

  • Specialist (174400000X)
Full Record
NPI
1699236505
Entity Type
Individual
Last Name
Krisch
First Name
Tara
Middle Name
M
Mailing Street Address
153 57Th St
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-3807
Mailing Country
US
Practice Street Address
1001 11Th St
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-1201
Practice Country
US
Practice Phone
(716) 278-8180
Enumeration Date
March 26, 2019
Last Updated
March 26, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)